WHO Collaborating Centre for Obesity Prevention, Deakin University, Melbourne, Victoria, Australia.
Public Health Nutr. 2010 Jun;13(6):886-92. doi: 10.1017/S136898001000011X. Epub 2010 Mar 3.
To implement a systematic evidence-informed process to enable Fiji and Tonga to identify the most feasible and targeted policy interventions which would have most impact on diet-related non-communicable diseases.
A multisectoral stakeholder group of policy advisers was formed in each country. They used participatory approaches to identify the problem policies and gaps contributing to an unhealthy food environment. Potential solutions to these problems were then identified, and were assessed by them for feasibility, effectiveness, cost-effectiveness and side-effects. Data were gathered on the food and policy environment to support the assessments. A shortlist of preferred policy interventions for action was then developed.
Sixty to eighty policy problems were identified in each country, affecting areas such as trade, agriculture, fisheries and pricing. Up to 100 specific potential policy solutions were then developed in each country. Assessment of the policies highlighted relevant problem areas including poor feasibility, limited effectiveness or cost-effectiveness and serious side-effects. A shortlist of twenty to twenty-three preferred new policy options for action in each country was identified.
Policy environments in these two countries were not conducive to supporting healthy eating. Substantial areas of potential action are possible, but some represent better choices. It is important for countries to consider the impact of non-health policies on diets.
实施系统循证流程，使斐济和汤加能够确定最可行和最有针对性的政策干预措施，以最大程度地影响与饮食相关的非传染性疾病。
在每个国家都成立了一个多部门利益相关者政策顾问小组。他们采用参与式方法，确定导致不健康食物环境的问题政策和差距。然后，确定解决这些问题的潜在方法，并由他们评估其可行性、有效性、成本效益和副作用。为支持评估，收集了有关食物和政策环境的数据。然后制定了一个首选政策干预措施的短名单，以便采取行动。
每个国家确定了 60 到 80 个政策问题，这些问题影响了贸易、农业、渔业和定价等领域。然后在每个国家制定了多达 100 种具体的潜在政策解决方案。对政策的评估突出了相关问题领域，包括可行性差、效果有限或成本效益低以及严重的副作用。确定了每个国家 20 到 23 个首选新政策行动方案的短名单。
这两个国家的政策环境不利于支持健康饮食。有大量潜在的行动领域是可能的，但有些是更好的选择。各国考虑非健康政策对饮食的影响非常重要。
